rnsusan

rnsusan

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All Content by rnsusan

  1. How do pediatric nurses feel when they have to take care of an adult patient? We do not get that many, but we do get a few when there is no one to transition them to. Many of my co workers get upset and think they need to go up the street to the "a...
  2. Pre-Nursing Student With Pacemaker and ACHD

    I hope everything is going well for you. I have been a pediatric nurse for 25 years. I was born with TOF. I now have decreased energy so a work part time on an easier floor. I have very few restrictions. I could not lift the heavy patients because...
  3. Continuous aerosol treatment

    I work on a general peds floor. The hospital has decided to start giving continuous albuterol aerosol treatments on the floor for asthma exacerbation. Anyone else work in a hospital that does continuous aerosols on the floor. BTW where my unit i...
  4. It is so sad to see a case like this. I have seen a few examples myself where DHR needed to take custody but didn't. I suspect that the reason the state has not taken custody is that they are worried that they have no place for the child. I couple...
  5. Where I work almost all the continuing education is done on the computer. The problem that I have with that is that there is no one to ask any questions. I have gone to the nursing education department for specific questions and rarely get any answ...
  6. adult patients admitted to a pediatric hospital

    We do not get adults very often. The adults we get usually have a diagnosis in which we have had trouble finding care in the adult world for them. A few of them have chosen to go out of state to be seen by an adult physician at an adult hospital.
  7. Vent: "I should warn you, I'm a tough stick..."

    I do not consider myself a hard stick if a 22g is used instead of a 20g. The last time I went for an MRI, I let the nurse know that the 2 previous MRIs were completed with a 22g instead of a 20g and the physician did not complain about the results o...
  8. staying the night at work due to weather

    I live in a state that occasionally gets snow. If we get winter weather it is more likely to be ice. The are many hills and bridges. The city has minimal equipment to clear the roads. A large percentage of staff live 30 minutes or more from work....
  9. Not hired if you smoke?

    I dread my patient's parents who are already stressed out and then told they have to go cold turkey from nicotine if our campus goes smoke free. Security will be very busy.
  10. adult patients at Chidren's

    I have heard that it is not uncommon for adult patients to be admitted to children's if they have a pediatric or congenital diagnosis. As a pediatric nurse I understand not wanting to kick patients out the door simply because they age out, but how d...
  11. transitioning to adult care

    Does anyone know an adult GI doc that takes care of adult patients with SBS related to NEC early in life? Where do your peds GI docs refer there patients to when they reach adulthood?
  12. transitioning to adult care

    I know that it is going to be very difficult. The peds GI office is not being helpful at this point. I personally know how difficult it is to find an adult cardiologist that is trained in adult congenital heart disease. In the US there are over a...
  13. Pulse ox, or other monitor, question

    This is one of my pet peeves. I work on a surgical floor with many patients on continuous pulse oximeters. There is no central monitoring station. I can't here the alarms all the way down the hall. I heard of one patient where the family member tu...
  14. Pulse oximetry and cyanotic CHD

    Does anyone know if there have been studies regarding the accuracy of pulse oximetry in the polycythemic cyanotic CHD patient? I had a patient in which the pulse ox readings varied from high 50s to low 70s in just a few minutes without clinical chang...
  15. You Know You're an Old(er) Nurse If . . .

    Zoeboboey, I did go into nursing because of the wonderful nurses that I had as a child. As a 6 year old, I new who was a good nurse and who wasn't. All but just a couple of nurses were wonderful. I had my first heart surgery in '65 and my second i...
  16. You Know You're an Old(er) Nurse If . . .

    Were I work we still have: Gomco for intermittent suction Old crank beds 6 of the rooms do not have a complete bathroom so a unit tub/shower is used for those rooms milk and molasses enemas work great As an older peds nurse I remember: making ...
  17. kids like me nowdays - how do they compare

    Dear 33 weaker, I also am 41 and was born with a complex congenital heart defect. Try www.achaheart.org . You will find other people with your same defect. I had my first shunt in 1965. I am happy to hear how well you are doing. My congenital he...
  18. Pediatric Rehab?

    I currently work on a ped rehab floor unit. We get children from infancy to 18 years of age. Most of our rehab patients have either a brain injury or spinal cord injury. The injuries can be a result of car accidents, stroke or abuse, etc. It is ...
  19. Anyone in Burmingham Ala?

    I do not know yet, but I am anxious to hear also. I will need heart surgery again. Do you know if he also operates on the adult congential heart patients?
  20. Infant Botulism

    I have seen 3 cases of infant botulism. All 3 spent time on the vent. The third one came to the floor unit where I worked via EMS. The referring community hospital did not have a clue how sick the child was. I took one look at the child and know ...